# TOTAL LIFE CARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225197031
- **Authorized official:** JENNIFER L STEVENS CMOM (PRACTICE MANAGER)
- **Authorized official phone:** (270) 554-3904

## Contact information

- **Practice address:** 2850 LONE OAK RD, BAYLEY SQUARE, SUITE 4, PADUCAH, KY 42003-8043
- **Practice address phone:** (270) 554-3904
- **Practice address fax:** (270) 534-8928
- **Mailing address:** 2850 LONE OAK RD, BAYLEY SQUARE, SUITE 4, PADUCAH, KY 42003-8043
- **Mailing address phone:** (270) 205-1394
- **Mailing address fax:** (270) 534-8928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | KY | Yes |
| 207R00000X | Internal Medicine Physician | — | KY | — |

## Other

- **Enumeration date:** 12/07/2006
- **Last updated:** 09/04/2024